OMT Minute  |   January 2020
High-Velocity, Low-Amplitude Management of Posterior Rib Somatic Dysfunction
Author Notes
  • From the Department of Osteopathic Manual Medicine at Des Moines University College of Osteopathic Medicine in Iowa. Student Doctor Kasten is an Osteopathic Manipulative Medicine Fellow. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Drew D. Lewis, DO, Des Moines University College of Osteopathic Medicine, 3200 Grand Ave, Des Moines, IA 50312-4104. Email: drew.d.lewis@dmu.edu
     
Article Information
Neuromusculoskeletal Disorders
OMT Minute   |   January 2020
High-Velocity, Low-Amplitude Management of Posterior Rib Somatic Dysfunction
The Journal of the American Osteopathic Association, January 2020, Vol. 120, e1-e2. doi:https://doi.org/10.7556/jaoa.2020.013
The Journal of the American Osteopathic Association, January 2020, Vol. 120, e1-e2. doi:https://doi.org/10.7556/jaoa.2020.013
Web of Science® Times Cited: 1
Optimal rib mechanics are of vital importance in maintaining scapulothoracic mechanics, shoulder posture, balance in the sympathetic nervous system, venous and lymphatic return, and overall health. Diagnosis and management of rib somatic dysfunction is useful for a multitude of acute and chronic conditions in both hospital and ambulatory settings. For patients who are in the hospital, management of rib somatic dysfunction is important to optimize respiratory and circulatory function and prevent hospital-acquired comorbidities. In the ambulatory setting, management of rib somatic dysfunction addresses many common pain presentations, including interscapular and mid- to upper back pain, as well as head, neck, and upper and lower limb complaints. 

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